Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care
Introduction The ‘SCale-Up diaBetes and hYpertension care’ Project aims to support the scale-up of integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium through the co-creation, implementation and evaluation of contextualised roadmaps. These roadmaps offer avenues for actio...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-09-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/8/9/e012637.full |
| _version_ | 1797642148536909824 |
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| author | Josefien van Olmen Wim Van Damme Edwin Wouters Sara Van Belle Daniel Boateng Monika Martens |
| author_facet | Josefien van Olmen Wim Van Damme Edwin Wouters Sara Van Belle Daniel Boateng Monika Martens |
| author_sort | Josefien van Olmen |
| collection | DOAJ |
| description | Introduction The ‘SCale-Up diaBetes and hYpertension care’ Project aims to support the scale-up of integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium through the co-creation, implementation and evaluation of contextualised roadmaps. These roadmaps offer avenues for action and are built on evidence as well as stakeholder engagement in policy dialogues. Roadmaps and policy dialogues are very much intertwined and considered to be key elements for successful stakeholder-supported scale-up in integrated chronic care. Yet, little is known about how, why and under which conditions policy dialogue leads to successful roadmap implementation and scale-up of integrated care. Therefore, this study aims to use a realist approach to elicit an initial programme theory (IPT), using political science theories on the policy process.Methods To develop the IPT, information from different sources was collected. First, an exploratory literature review on policy dialogue and scale-up definitions and success factors was performed, identifying theoretical frameworks, empirical (case) studies and realist studies (information gleaning). Second, research workshops on applying theory to the roadmap for scale-up (theory gleaning) were conducted with a multidisciplinary expert team. We used the intervention–context–actors–mechanism–outcome configuration to synthesise information from the sources into a configurational map.Results The information and theory gleaning resulted into an IPT, hypothesising how policy dialogues can contribute to roadmap success in different policy stages. The IPT draws on political science theory of the multiple streams model adapted by Howlett et al to include five streams (problem, solution, politics, process and programme) that can emerge, converge and diverge across all five policy stages.Conclusion This paper aims to extend the knowledge base on the use of policy dialogues to build a roadmap for scale-up. The IPT describes how (dynamics) and why (theories) co-created roadmaps are expected to work in different policy stages. |
| first_indexed | 2024-03-11T13:56:01Z |
| format | Article |
| id | doaj.art-3776724ea60e463f9c698d5ec072bb06 |
| institution | Directory Open Access Journal |
| issn | 2059-7908 |
| language | English |
| last_indexed | 2024-03-11T13:56:01Z |
| publishDate | 2023-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj.art-3776724ea60e463f9c698d5ec072bb062023-11-02T06:40:08ZengBMJ Publishing GroupBMJ Global Health2059-79082023-09-018910.1136/bmjgh-2023-012637Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated careJosefien van Olmen0Wim Van Damme1Edwin Wouters2Sara Van Belle3Daniel Boateng4Monika Martens5Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerpen, BelgiumDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumCentre for Population, Family & Health, Department of Social Sciences, University of Antwerp, Antwerp, BelgiumDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumJulius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The NetherlandsDepartment of Public Health, Institute of Tropical Medicine, Antwerp, BelgiumIntroduction The ‘SCale-Up diaBetes and hYpertension care’ Project aims to support the scale-up of integrated care for diabetes and hypertension in Cambodia, Slovenia and Belgium through the co-creation, implementation and evaluation of contextualised roadmaps. These roadmaps offer avenues for action and are built on evidence as well as stakeholder engagement in policy dialogues. Roadmaps and policy dialogues are very much intertwined and considered to be key elements for successful stakeholder-supported scale-up in integrated chronic care. Yet, little is known about how, why and under which conditions policy dialogue leads to successful roadmap implementation and scale-up of integrated care. Therefore, this study aims to use a realist approach to elicit an initial programme theory (IPT), using political science theories on the policy process.Methods To develop the IPT, information from different sources was collected. First, an exploratory literature review on policy dialogue and scale-up definitions and success factors was performed, identifying theoretical frameworks, empirical (case) studies and realist studies (information gleaning). Second, research workshops on applying theory to the roadmap for scale-up (theory gleaning) were conducted with a multidisciplinary expert team. We used the intervention–context–actors–mechanism–outcome configuration to synthesise information from the sources into a configurational map.Results The information and theory gleaning resulted into an IPT, hypothesising how policy dialogues can contribute to roadmap success in different policy stages. The IPT draws on political science theory of the multiple streams model adapted by Howlett et al to include five streams (problem, solution, politics, process and programme) that can emerge, converge and diverge across all five policy stages.Conclusion This paper aims to extend the knowledge base on the use of policy dialogues to build a roadmap for scale-up. The IPT describes how (dynamics) and why (theories) co-created roadmaps are expected to work in different policy stages.https://gh.bmj.com/content/8/9/e012637.full |
| spellingShingle | Josefien van Olmen Wim Van Damme Edwin Wouters Sara Van Belle Daniel Boateng Monika Martens Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care BMJ Global Health |
| title | Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care |
| title_full | Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care |
| title_fullStr | Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care |
| title_full_unstemmed | Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care |
| title_short | Using the multiple streams model to elicit an initial programme theory: from policy dialogues to a roadmap for scaling up integrated care |
| title_sort | using the multiple streams model to elicit an initial programme theory from policy dialogues to a roadmap for scaling up integrated care |
| url | https://gh.bmj.com/content/8/9/e012637.full |
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